Dear Health Advocates,

Congress is in session this week before breaking until after Labor Day, and it's important that we continue making our voices heard about just how harmful the impacts of HR 1 (commonly called the "One Big Beautiful Bill Act") will be.

Although HR 1 passed three weeks ago, we must ensure that those who voted for the bill own the impacts — and the unpopularity — of the legislation. We encourage you to help partners and the public make that connection and to focus on accountability. For example, you can make your voice heard by highlighting HR 1's impact on people, communities, and state budgets here.

In our most recent Insights Blog, we gathered stories of those who will be harmed by HR 1. From rural health care in Nebraska, to foster parent Ryan Jolly in Kansas, to a family in Pennsylvania who benefits from home- and community-based services (HCBS), this bill will have far-reaching impacts that will harm everyone, not just the tens of millions expected to lose coverage. 

We have new ways to engage this week before Congress breaks for recess, including: 

• STARTING TOMORROW! 60-Hour Medicaid Vigil
  • Caring Across Generations has organized a 60-hour vigil on the National Mall starting on July 23rd at 9 pm until July 26th at 9 am. Find more details and register to sponsor an hour here.
• THIS WEEKEND! Families First Day of Action
  • Join MoveOn, National Domestic Workers Alliance, SEIU, and MomsRising on Saturday, July 26th, as they encourage the American people to come together in peaceful marches, rallies and events to say — our families come first, and we will protect each other. In all 50 states and Washington DC, Families First rallies will demand care over the cruel cuts and attacks on families that we’re seeing from Congress and the White House. The nationwide mobilizations organized by a coalition of unions, advocacy groups, faith leaders, and families committed to protecting democracy, dignity, and care. All events are grounded in nonviolence, community safety, and strategic protest. Find more details here.
• Defending Medicaid Landing Page
  • Even though the bill is law, Families USA will leave up its Defending Medicaid landing page. You can find district fact sheets, state-specific resources, and other resources we developed for the fight to protect Medicaid.

• Report: Rural Hospital Revenue Could Drop by $87 Billion over 10 Years Because of the Reconciliation Bill and Expiring Enhanced Tax Credits, Urban Institute.

• Insights Blog: Marketplace Final Rule Sets Major Hurdles to Coverage, Families USA.

• Blog: Up to 2.1 Million Community Health Center Patients at Risk of Losing Private Coverage, GW Milken Institute School of Public Health.

• Brief: Immigrants Care: How Immigrant Early Educators Hold Up the Care Economy, NWLC.

• Report: Working America Relies on Medicaid: Congress Must Protect Essential Workers from Devastating Medicaid Cuts, Families USA.

• Live Blog: By the Numbers: Senate Republican Leadership’s Health Agenda Takes Health Coverage Away From Millions of People and Raises Families’ Costs, CBPP.

• Explainer: How Consumers May be Harmed if Congress Funds Cost-Sharing Reductions, Families USA.

• Blog: We Interrupt This Program for a Marketplace Alert: Reenrollment Rollback Risks Significant Coverage Loss, The 80 Million.

• Fact Sheet: 16 Million Americans Will Lose Their Health Care Under the GOP Tax Scam, Protect Our Care.

• Section by Section Analysis: Senate Finance Budget Reconciliation Bill Breakdown, Families USA.

• One Big Beautiful Bill Summary: Harmful Impacts of Proposed House Budget Bill the “One Big Beautiful Bill Act” on Medicaid, Affordable Care Act, and Medicare 

• Affordability Agenda: Making Health Care Affordable: Reining In Health Industry Abuses To Lower People’s Costs Without Cutting Coverage, Families USA.

• Blog: Proposed Medicaid Cuts Could Jeopardize Health Care Access for 3 in 10 Young Adults, Urban Institute.

• Blog: Nearly 5.6 Million Community Health Center Patients Could Lose Medicaid Coverage Under New Work Requirements, with Revenue Losses Up to $32 Billion, The Commonwealth Fund.

• Video: 90 Seconds or Less Policy Explainers. Families USA.

• Report: How Medicaid and SNAP Cutbacks in the “One Big Beautiful Bill” Would Trigger Big and Bigger Job Losses Across States, The Commonwealth Fund

• Fact Sheets: Congressional Medicaid Fact Sheets, Families USA.

• Resource: Article and State Data Table on Medicaid cuts to elderly and disabled Americans, Milken Institute

• State Research: How Work Requirements Would Affect Medicaid Coverage in Each Expansion State, Robert Wood Johnson Foundation. 
• State Maps and Commentary: States in the Bull’s-Eye of Medicaid Cuts, The Century Foundation.
• Toolkit: Analyzing the Impact of Potential Medicaid Cuts: A Toolkit for States, State Health and Value Strategies.
• Fact Sheets: Medicaid Mental Health Fact Sheets for All 50 States and DC, NAMI.
• Fact Sheets: Medicaid and Its Role for Older Adults in All 50 States and DC, AARP.

• Sign On Letter Wrap Up: More than 85 National Organizations Urge Senate to Reject “One Big Beautiful Bill Act” Health Care Cuts and Prioritize Transparency, Rigor of Analysis, and Constituents’ Health Access (06/15/2025), Families USA.
• Analysis: Medicaid Expansion Reduces Maternal Mortality: Medicaid Cuts Would Be Deadly for Mothers and Babies, Families USA.

• Fact Sheet: Fact Sheet: Republicans Are Working to Gut Medicaid, a Lifeline for People With Mental Health Conditions and Opioid Addiction, Protect Our Care.

• Insights Blog: Work Reporting Requirements Don’t Work: An in-depth look as Idaho moves closer to adding costly red tape to Medicaid, Families USA.

• Medicaid Work Requirements Fact Sheet: Medicaid Work Reporting Requirements: Bureaucratic Burdens That Threaten Working Families, Providers and Local Economies, Families USA.

• Media Coverage of Families USA and State Partners Advocacy Work
  • Maine Morning Star: Medicaid cuts could cost Maine hospitals $66 million a year, report finds
  • Charleston Gazette Mail:  Already struggling WV hospitals brace for costly budget reconciliation law impacts

  • Argonaut, University of Idaho’s student newspaper - Idaho senators and representative signal support for Trump’s “Big Beautiful Bill”

Have a great week,

Nate Keller

Senior Associate, Organizing and Mobilization

Families USA

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